Diagnosing Back Pain
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Lower back pain is a painful condition that can put people out of work for weeks and reduce their ability to do basic activities like climbing stairs or getting in and out of bed.Even putting on your shoes or pants can be a painful ordeal. Low back pain is responsible for a vast majority of workman’s compensation issues. And, fortunately, chronic or acute lower back pain is preventable by maintaining good strong and flexible back muscles.
Self Examination
When you’ve injured your lower back there are several things you can do at home to help start treatment. Ice your back for the first 3 days and don’t stay in bed. Take take over the counter analgesics like ibuprofen to help decrease the pain. But if these measures don’t significantly reduce the pain in 3 days time it’s time to see the doctor.
See A Doctor
Lower back pain can be a result of several different factors and it’s up to the doctor to find the cause so that the best treatment can be recommended. The doctor will start with a thorough medical history and physical examination. This will help them to identify any dangerous conditions or family history that could be associated with the back pain.The doctor will ask when the pain started, where it started and the severity of the pain, how long the pain lasts and how it feels. The doctor will ask about limitations in movement and will also ask the individual to make movements that may or may not elicit the pain.
Doctors may also run blood tests to look for possible reasons not to order specific medications or other reasons that the individual may be feeling back pain. If the doctor isn’t able to determine the reason for the back pain through medical history and examination he or she may also recommend imaging tests.

Diagbostic Tests
There are several types of diagnostic tests your physician might ask you to take:
- X-Rays. X-rays are pretty conventional but some of the more enhanced methods can help diagnose back pain. The x-ray looks for broken bones or an injured vertebra. It will will show the bony structures and any vertebral misalignments. Other tissue injuries such as muscle or bulging discs are not visible in these imaging tests.
- Discography. A discography is an imaging test where a technician injects a special contrast dye into a spinal disc that the doctor believes is causing the low back pain. The dye will outline the damaged area on x-ray and is suggested for individuals who are considering undergoing a lumbar surgery or whose pain hasn’t responded to conventional treatment.
- Myelograms. Myelograms are another imaging technique that improves the diagnostic imaging possibilities. Contrast dye is injected into the spinal canal which allows the spinal cord and any nerve compression by a herniated disc to be seen on x-ray.
- Imaging .Computerized tomography (CT) is a painless imaging process used when the doctor believes that a disc has ruptured, there is spinal stenosis or damage to the vertebrae is suspected. This is a specialized test and requires an expensive machine that will be located at an imaging center or hospital.
- MRI. A magnetic resonance imaging (MRI) test is used to see more soft tissue than the CT scan will normally show. It is also more expensive than a CT scan. MRI scanning will look at tissue and nerves, muscles, ligaments and blood vessels. Radio waves are passed through the body using a magnet. The images are passed to a computer which slices the images and differentiates between bone, soft tissue and fluid filled spaces.
Other imaging scans may include elctrodiagnostic procedures such as EMGs. Doctors may use bone scans or ultrasound imaging to look for ligaments, muscle, tendon or other soft tissue masses in the back that could be causing low back pain.
Published by Relief For Back Pain
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I usually don
Most of us hold tension in our back, shoulder, and neck, which causes tightness. These areas are highly susceptible to stress due to even the most casual events. Pain can set in due to a chilly day outdoors, or from too much time in front of the computer without a break. (Ergonomic specialists recommend that you stand and stretch at least every hour while you are doing desk work.)
Five Tips For Back Pain Relief
1. Get some down time. Rest relieves pressure on your muscle tissue. Lie facing the ceiling, then raise your knees slowly toward your head. Stretch up to your chin, if possible, but do not raise your knees any further than is comfortable. Now hold this position for at least one minute. If you start to feel pain, lower them earlier. This stretch can help to release back muscle tissue and fiber.
2. Ice away the pain. Rub an ice cube slowly across the pain. Move the cube in a circle, keeping a steady motion to prevent freezing and injury to surface tissue. Get some help if you cannot comfortably reach the area of pain on your own.
3. Stretch slowly. Slow and gentle movement following ice therapy helps restore circulation and may relax muscle fiber back into position. Be cautious, as too much exertion may increase and prolong pain or spasm. Just move through your current range of motion, going toward comfortable rather than stressful positions.
4. Pressure point massage. Once you can discern some reduction in pain and swelling (about 24 hours, in most cases), try this trick: use direct pressure on the area. Hold the pressure while counting to five (thousand-one, thousand-two, etc.), and then release. Wait for a count of ten, then start over. Do this press-and-release sequence three times total. Use a finger, a thumb, the handle of a broom or mop; even someone else’s elbow should work. Or place a tennis ball between your back and the wall, then move your back so that the tennis ball rolls over the sore spot. If pressure point massage doesn’t bring some relief, then you may want to visit a muscle pain specialist.
5. Take a pain reliever. Try ibuprofen (e.g., Advil or Motrin), naproxen (e.g., Aleve), or aspirin. Acetaminophen (e.g., Tylenol) is probably not as effective on this type of pain, since it lacks the anti-inflammatory property of the other medications.
One tip on pain relief medication: Take it just before sleep, so that it reduces the inflammation while your body rests. This way, the temporary back pain relief will not soothe you into believing that it is okay to resume your regular routine while your back is still inflamed.
One last note: Any sudden change in back or neck sensation that includes numbness, tingling, or a feeling of weakness may be a sign of a nerve injury or a ruptured disk in your back. If this is the case, please get an examination from a qualified specialist as soon as possible.
after consult the doctor, the daily exercise make me feeling better. Thanks for your information.